Client Insurance Specialist

Client Insurance SpecialistIntegrated Services for Behavioral Health (ISBH) is a community-minded, forward-thinking behavioral health organization helping people along the road to health and well-being. We meet people in their homes and communities and help connect them to their needed resources. We serve Southeastern and Central Ohio with a comprehensive array of behavioral health and other services – working with local partners to promote healthy people and strong communities.

Our services are intended to be collaborative and personalized for the individual.The financial counselor serves as the organization's primary resource for insurance coverage, self-pay support, communication, and education. This position is responsible for monitoring client insurance renewals and coverage changes, educating staff on payer requirements and processes, serving as an escalation point for complex insurance-related questions and providing information on self-pay options and good faith estimates to patients served. The specialist works collaboratively with clinical, intake, billing and leadership teams to support continuity of care and maximize client access to behavioral health services within an Ohio community mental health setting.The pay range for this position is $20.97-$24.56 per hour based on experience, education, and/or licensure.Essential FunctionsProvide staff education and consultation regarding insurance coverage, payer requirements, eligibility verification, and authorization processes for clients.Develop workflows, reference materials, and process improvements to strengthen client insurance communication and navigation across the organization.Serve as the escalation point for complex client insurance questions, coverage concerns, and payer-related barriers affecting client care.Monitor and communicate client insurance renewals, dropped coverage, eligibility changes, payer updates, and coverage limitations to staff and departments.Extract, track, and organize client insurance renewal and coverage data within the electronic health records systems (ECR/HER) to support continuity of care and operational workflows.Communicate with clients to implement self-pay agreements, provide good faith estimates, and collect payments when applicable.Maintain and distribute internal communication lists and updates related to client insurance changes impacting services or billing.Collaborate with patients, direct service providers, intake, billing, scheduling, and clinical teams as needed to ensure accurate and current client insurance information.Track Medicaid, managed care, commercial insurance, and OhioRISE or waiver-related changes that impact authorizations or service access for clientsCollaborate with utilization review, prior authorization, and billing staff to resolve client insurance issues and minimize service interruptionsUtilize data tracking and analytics to identify trends, coverage gaps, and operational needs related to client insurance management and access to careMaintain compliance with HIPAA, mandated reporting requirements, and professional ethical guidelinesTravel with designated service areasAll other duties as assignedMinimum Requirements:Education:A high school diploma/GED is requiredAn associate or bachelor's degree in healthcare administration, social work, business, behavioral health, or related fields is preferredExperience:2-3 years of experience in behavioral health insurance verification, authorizations, billing support, utilization review, or healthcare coverage navigation is requiredExperience working within a community mental health or healthcare environment is preferred.Knowledge, Skills and Abilities:Advanced communication skills, both oral and written is requiredAdvanced organizational skills are requiredKnowledge of Ohio Medicaid, managed care organizations, behavioral health benefits, and payer authorization processes is requiredAbility to maintain confidential information is required?Ability to adhere to all safety, rules, regulations and requirementsAbility to manage multiple priorities and collaborate effectively across departments is requiredAbility to document services accurately and efficiently in an electronic health recordA valid driver's license and the ability to operate a motor vehicle is required?An appropriate level of auto insurance coverage is required?Ability to operate in an Internet-based, automated office environment is requiredAbility to maintain high-speed internet connection is requiredData entry, reporting, and spreadsheet management skills is requiredProficient in Microsoft excel, word and outlook is requiredPhysical Requirements:Prolonged periods of sitting at a desk and working on a computer is requiredMust be able to lift up to 15 pounds at times is requiredEnjoy a great work environment with an excellent salary, generous paid time off, and a strong benefits package!Benefits include:MedicalDentalVisionShort-term DisabilityLong-term Disability401K w/ Employer MatchEmployee Assistance Program (EAP) provides support and resources to help you and your family with a range of issues.We're an equal opportunity employer.

All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.